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dc.contributor.authorCzypionka, Thomas
dc.contributor.authorKraus, Markus
dc.contributor.authorReiss, Miriam
dc.contributor.authorRoca, Josep
dc.contributor.authorRuths, Sabine
dc.contributor.authorStokes, Jonathan
dc.contributor.authorStruckmann, Verena
dc.contributor.authorHaček, Romana Tandara
dc.contributor.authorZemplényi, Antal
dc.contributor.authorHoedemakers, Maaike
dc.contributor.authorRutten-van Mölken, Maureen
dc.description.abstractBackground As the prevalence of multi-morbidity increases in ageing societies, health and social care systems face the challenge of providing adequate care to persons with complex needs. Approaches that integrate care across sectors and disciplines have been increasingly developed and implemented in European countries in order to tackle this challenge. The aim of the article is to identify success factors and crucial elements in the process of integrated care delivery for persons with complex needs as seen from the practical perspective of the involved stakeholders (patients, professionals, informal caregivers, managers, initiators, payers). Methods Seventeen integrated care programmes for persons with complex needs in 8 European countries were investigated using a qualitative approach, namely thick description, based on semi-structured interviews and document analysis. In total, 233 face-to-face interviews were conducted with stakeholders of the programmes between March and September 2016. Meta-analysis of the individual thick description reports was performed with a focus on the process of care delivery. Results Four categories that emerged from the overarching analysis are discussed in the article: (1) a holistic view of the patient, considering both mental health and the social situation in addition to physical health, (2) continuity of care in the form of single contact points, alignment of services and good relationships between patients and professionals, (3) relationships between professionals built on trust and facilitated by continuous communication, and (4) patient involvement in goal-setting and decision-making, allowing patients to adapt to reorganised service delivery. Conclusions We were able to identify several key aspects for a well-functioning integrated care process for complex patients and how these are put into actual practice. The article sets itself apart from the existing literature by specifically focussing on the growing share of the population with complex care needs and by providing an analysis of actual processes and interpersonal relationships that shape integrated care in practice, incorporating evidence from a variety of programmes in several countries.en_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.subjectPersonsentrert omsorgen_US
dc.subjectPerson-centred careen_US
dc.subjectHealth services researchen_US
dc.titleThe patient at the centre: evidence from 17 European integrated care programmes for persons with complex needsen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.rights.holderCopyright 2020 The Author(s).en_US
dc.source.journalBMC Health Services Researchen_US
dc.subject.nsiVDP::Medisinske fag: 700en_US
dc.subject.nsiVDP::Midical sciences: 700en_US
dc.identifier.citationBMC Health Services Research. 2020, 20, 1102en_US

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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal